Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHATTANOOGA HAMILTON COUNTY HOSPITAL AUTHORITY

NPI: 1154751931 · CHATTANOOGA, TN 37403 · Family Medicine Physician · NPI assigned 11/15/2013

$28.03M
Total Medicaid Paid
915,125
Total Claims
719,452
Beneficiaries
272
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTABOR, JAMES (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date11/15/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 79,881 $2.58M
2019 124,012 $4.09M
2020 124,664 $3.86M
2021 169,461 $5.86M
2022 182,684 $5.98M
2023 167,513 $4.32M
2024 66,910 $1.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 177,714 150,592 $8.61M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 112,413 95,945 $4.21M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13,267 11,667 $1.26M
99215 Prolong outpt/office vis 10,618 8,947 $999K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12,330 9,848 $832K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,180 7,582 $716K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 10,950 9,639 $709K
99233 Prolong inpt eval add15 m 18,277 6,517 $651K
90460 Immunization administration through 18 years of age via any route, first or only component 27,383 22,746 $635K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 2,641 595 $624K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 17,777 4,916 $547K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,578 5,442 $517K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,730 13,147 $506K
99223 Prolong inpt eval add15 m 6,723 5,666 $483K
99480 Subsequent intensive care, per day, low birth weight infant 5,016 1,380 $407K
99479 Subsequent intensive care, per day, very low birth weight infant 4,585 1,182 $360K
99232 Subsequent hospital care, per day, moderate complexity 12,355 4,756 $352K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 57,324 44,720 $285K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,458 1,089 $282K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,352 2,823 $268K
96110 Developmental screening, with scoring and documentation, per standardized instrument 18,783 15,394 $266K
99238 Hospital discharge day management, 30 minutes or less 5,041 4,450 $253K
99222 Initial hospital care, per day, moderate complexity 2,870 2,497 $250K
99205 Prolong outpt/office vis 1,727 1,555 $231K
96160 18,734 15,186 $230K
93304 4,226 3,523 $198K
90834 Psychotherapy, 45 minutes with patient 3,459 2,547 $169K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,140 1,070 $148K
93000 11,467 8,916 $143K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 970 844 $122K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,418 1,248 $116K
95812 2,567 1,557 $110K
D7140 Extraction, erupted tooth or exposed root 1,378 600 $94K
20610 2,647 1,722 $94K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 6,362 1,797 $89K
93325 7,587 6,270 $77K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 4,361 3,562 $74K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,539 1,452 $74K
92551 8,856 7,319 $71K
93321 5,395 4,508 $68K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 944 817 $66K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,121 893 $64K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,657 2,209 $63K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,141 1,044 $61K
64483 522 388 $56K
96161 7,199 5,540 $54K
99239 Hospital discharge day management, more than 30 minutes 1,283 1,097 $52K
81002 23,075 18,802 $52K
90847 Family psychotherapy with the patient present, 50 minutes 680 435 $46K
81025 7,876 6,580 $44K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 580 518 $40K
92587 1,787 1,353 $38K
76830 Ultrasound, transvaginal 488 446 $35K
J0585 Injection, onabotulinumtoxina, 1 unit 92 37 $35K
90837 Psychotherapy, 53 minutes with patient 512 292 $34K
99173 7,877 6,550 $34K
95251 1,787 1,424 $31K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 332 307 $31K
99177 5,028 3,972 $30K
96127 6,246 5,108 $27K
90697 1,597 1,315 $27K
D0140 Limited oral evaluation - problem focused 1,158 1,135 $27K
87210 8,684 7,165 $27K
99244 Office or other outpatient consultation, moderate to high complexity 177 175 $27K
90686 12,017 10,185 $27K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 399 313 $25K
83036 Hemoglobin; glycosylated (A1C) 10,435 8,604 $25K
36415 Collection of venous blood by venipuncture 16,112 13,299 $23K
93320 852 750 $20K
95886 462 361 $20K
93298 2,022 1,602 $20K
51798 1,795 1,556 $20K
90792 Psychiatric diagnostic evaluation with medical services 264 239 $19K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,490 1,247 $18K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 78 13 $18K
76801 263 199 $17K
99460 281 257 $17K
93228 1,541 1,272 $17K
90671 395 298 $16K
77427 156 68 $16K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,956 1,512 $15K
73620 1,131 945 $15K
81003 8,673 7,308 $15K
82962 9,392 7,512 $13K
54360 30 25 $13K
97161 265 220 $13K
93970 798 689 $13K
17110 275 246 $13K
52356 40 38 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,430 612 $13K
99401 656 371 $12K
76818 147 62 $12K
J1040 Injection, methylprednisolone acetate, 80 mg 1,493 1,103 $12K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 92 78 $11K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,432 1,150 $11K
90677 692 571 $11K
D1206 Topical application of fluoride varnish 1,651 917 $10K
95806 204 183 $9K
59426 15 13 $9K
73562 435 383 $9K
95909 127 105 $9K
93224 122 97 $9K
73630 483 411 $8K
D0150 Comprehensive oral evaluation - new or established patient 287 279 $8K
59025 Fetal non-stress test 229 129 $8K
95782 77 69 $8K
73600 569 462 $7K
99468 16 12 $7K
99442 532 349 $7K
99243 67 62 $7K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,375 904 $7K
99231 Subsequent hospital care, per day, straightforward or low complexity 382 231 $6K
99464 121 99 $6K
90715 328 286 $6K
99463 80 77 $6K
76882 176 120 $6K
73610 321 275 $6K
85018 2,842 2,514 $6K
93971 427 375 $6K
31624 35 24 $5K
94060 809 613 $5K
51741 77 76 $5K
54150 27 24 $5K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 111 74 $5K
64484 110 77 $5K
93289 161 136 $4K
29065 70 49 $4K
88720 1,106 738 $4K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 86 69 $4K
D1110 Prophylaxis - adult 95 93 $4K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 95 86 $4K
90791 Psychiatric diagnostic evaluation 52 46 $4K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 92 70 $4K
3078F 16,935 13,878 $3K
59430 37 26 $3K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 487 341 $3K
95720 33 12 $3K
29581 183 86 $3K
93296 376 318 $3K
D0210 Intraoral - complete series of radiographic images 58 54 $3K
94729 783 596 $3K
73030 224 188 $3K
99385 32 27 $3K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 729 439 $3K
3074F 13,314 10,910 $3K
95819 89 75 $2K
99406 426 295 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 232 212 $2K
99219 33 27 $2K
95816 82 74 $2K
73502 154 136 $2K
77263 29 24 $2K
95249 115 89 $2K
54161 12 12 $2K
93288 193 147 $2K
20611 42 25 $2K
77334 44 25 $2K
99152 132 108 $2K
64615 40 25 $2K
99292 40 14 $2K
76883 143 60 $2K
94010 186 166 $2K
90651 1,309 1,123 $2K
93308 60 54 $2K
29405 18 12 $2K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 38 33 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 71 59 $2K
73110 76 66 $2K
74018 100 98 $1K
82270 664 568 $1K
G0008 Administration of influenza virus vaccine 405 332 $1K
45380 Colonoscopy, flexible; with biopsy, single or multiple 18 12 $1K
99201 47 44 $1K
74420 125 98 $1K
76942 63 40 $1K
99221 20 12 $1K
93015 27 24 $1K
73560 57 49 $1K
64493 20 12 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 15 12 $1K
90670 5,689 4,786 $1K
99441 114 59 $1K
95885 63 38 $1K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 35 29 $1K
11102 26 26 $991.12
72082 28 26 $951.85
90674 444 331 $931.08
99217 16 15 $923.32
85027 532 476 $897.70
93018 104 82 $895.49
94727 157 130 $890.31
90832 Psychotherapy, 30 minutes with patient 15 12 $848.12
94726 206 129 $830.42
11100 14 14 $819.42
97530 Therapeutic activities, direct patient contact, each 15 minutes 47 26 $785.36
3079F 2,188 1,827 $760.00
93016 74 55 $697.81
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass 18 13 $648.54
92567 48 42 $617.24
64494 20 12 $600.23
85610 226 165 $574.96
93976 15 12 $529.64
73130 27 25 $522.18
96380 41 28 $517.32
99490 Ccm add 20min 12 12 $501.55
99174 95 63 $490.30
85007 532 476 $485.75
Q0111 Wet mounts, including preparations of vaginal, cervical or skin specimens 117 104 $484.43
97162 21 12 $467.45
99397 27 26 $457.66
3075F 915 765 $442.92
73140 18 13 $413.31
99309 Subsequent nursing facility care, per day, low to moderate complexity 44 43 $377.07
77077 15 13 $355.06
72100 29 27 $330.35
90734 813 680 $320.37
90688 17 17 $296.23
3077F 1,254 1,048 $270.00
D0274 Bitewings - four radiographic images 12 12 $257.04
94770 18 12 $248.47
99308 Subsequent nursing facility care, per day, straightforward 69 67 $248.33
97597 17 13 $230.09
87807 25 18 $221.81
J1030 Injection, methylprednisolone acetate, 40 mg 45 37 $206.89
J1010 Injection, methylprednisolone acetate, 1 mg 90 51 $203.07
17000 14 12 $201.45
94760 769 717 $199.65
90672 31 24 $187.60
D0220 Intraoral - periapical first radiographic image 14 14 $179.34
Q4008 Cast supplies, long arm cast, pediatric (0-10 years), fiberglass 14 12 $161.48
96112 12 12 $143.76
90723 2,830 2,370 $141.44
D0230 Intraoral - periapical each additional radiographic image 14 14 $137.90
85651 230 187 $137.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 203 163 $119.27
94618 37 27 $96.74
90661 119 68 $77.03
3080F 157 135 $50.00
80305 14 13 $45.23
90633 1,670 1,353 $34.73
92558 17 12 $31.92
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 31 25 $29.97
0503F 246 211 $20.62
90656 417 301 $20.44
0500F 14 13 $20.10
90647 2,588 2,149 $17.06
3044F 1,807 1,460 $10.00
90657 113 87 $9.82
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 59 51 $8.02
99235 13 13 $7.50
3008F 25,525 20,353 $0.10
90707 315 253 $0.00
3046F 1,015 851 $0.00
90685 895 759 $0.00
0502F 7,399 4,657 $0.00
3051F 51 42 $0.00
90648 349 308 $0.00
90710 30 26 $0.00
90681 67 63 $0.00
91300 61 58 $0.00
90700 126 99 $0.00
90461 76 71 $0.00
3725F 42 26 $0.00
99188 13 12 $0.00
90716 289 229 $0.00
90680 3,083 2,595 $0.00
3048F 678 537 $0.00
90696 37 27 $0.00
0001A 20 20 $0.00
0501F 28 27 $0.00
D1330 29 27 $0.00
90620 19 15 $0.00